Active NPI
Rene Tricou, LPCC
- Counselor
- Santa Fe, NM
National Provider Identifier
1114396058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- CTB-2024-0286
- Practice address
- 2100 Paseo Ponderosa
Santa Fe, NM 87501-6319 - Phone
- (541) 357-9337
- NPI assigned
- Sep 22, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | CTB-2024-0286 | NM | |
| Counselor | 101Y00000X | CTB-2024-0286 | NM | Primary |
Addresses
Primary practice location
2100 Paseo Ponderosa
Santa Fe, NM 87501-6319
Mailing address
2100 Paseo Ponderosa
Santa Fe, NM 87501-6319
Phone (541) 306-8728
Other practice location 1
53000 Breitenbush Rd
Detroit, OR 97342-9703
Phone (541) 306-8728
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CTB-2024-0286 | NM | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Interweave LLC | Counselor | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Counselor
- Santa Fe, NM
- NPI 1881421931
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734739200000",
"number": "1114396058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 PASEO PONDEROSA",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875016319",
"telephone_number": "541-306-8728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 PASEO PONDEROSA",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875016319",
"telephone_number": "541-357-9337"
}
],
"practiceLocations": [
{
"address_1": "53000 Breitenbush Rd",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "OR",
"postal_code": "973429703",
"country_code": "US",
"telephone_number": "541-306-8728",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TRICOU",
"first_name": "RENE",
"credential": "LPCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-09-22",
"last_updated": "2024-12-21",
"certification_date": "2024-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NM",
"license": "CTB-2024-0286",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NM",
"license": "CTB-2024-0286",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.